Medical Billing Blog with Medical Billing & Coding Info & Articles
Welcome to the Medical Billing and Coding Blog
Welcome to the medical billing blog containing news and articles relating to medical billing, medical coding, ICD, HIPAA and practice management functions.
2004-2024 Celebrating 20 Years of Healthcare RCM Articles
The Blog Currently Contains 1,265+ Healthcare Articles
Denials Due to Code Non-Recognition
In some cases you may get a medical billing denial due to non-recognition of the coding used. In a lot of cases, this is due to the medical biller jumping the gun and using a code that was due to be released too early for reimbursement. Normally when a new code is introduced, an effective date will be set and that is the given date for all service providers to begin using that particular billing code. It is not permissible for carriers to deny claims for no recognition if the code effective date has passed. There are instances in medical billing where code no recognition is acceptable. A payer can …
To Bundle or Not to Bundle That is the Question
In medical billing, there are many Ob-Gyn codes that should be bundled, while others should not be bundled. The current procedural codes 58720 and 57283 frequently bring up this “to bundle or not to bundle” question in medical billing. It is important to know when to bundle certain Ob-Gyn medical billing codes and when to bill them separately. The current procedural terminology code 58720 (Salpingo oophorectomy, complete or partial, unilateral or bilateral) can be billed completely separately from a colpopexy (57283). This means that if your physician does both of these services at the same time, you can do medical billing for both procedures. There is no bundling. Separate reimbursement …
Why Use OMG?
Medical billing is a complex process that if not done correctly, can lead to a loss of revenue and underpayment on your claims. Outsourcing your medical billing can help eliminate some of these losses. There are several benefits to using a medical billing company. Studies have shown that nearly one-third of all medical services are never reimbursed to the health care provider. This is due to poor follow-up to insurance companies and to patients themselves for medical practices. Too often, medical office personnel are stretched to their limits. They are responsible for medical billing, advertising, scheduling, and customer service. Medical billing companies can alleviate some of this stress by taking …
Real World Rehabilitation Medical Billing Reimbursements
The medical billing world has a new way of performing therapy for patients. Baton Rouge General Medical Center is changing the face of rehab therapy. The new rehab facility, “Around Town”, is helping patients adapt to the more practical aspects of life. While traditional therapy helps patients move their bodies again once again, this new therapy helps them adjust to real life situations. Payers may see a lot more of these types of medical billings come through their offices. The “Around Town” facility looks like the inside of a house or a home. It is equipped with a working kitchen, bedroom, living room with a chair and couch, and a …
Prior Authorization Can Get More Medical Billing Claims Paid
More and more often, medical billing claims that include saphenous vein ablation are getting very close scrutiny by carriers before reimbursements will be allotted. One of the biggest red flags is that most payers, including Medicare, will only cover payment for a very limited number of specific varicose-vein diagnoses. Samplings of the commonly and correctly reported procedures covered are as follows: * 454.0–Varicose veins of lower extremities; with ulcer* 454.1–… with inflammation* 454.2–… with ulcer and inflammation* 454.8–… with other complications. However, when these are reported correctly, you should have detailed documentation to why the procedure was needed and documentation of the failure of non-surgical treatments that were used previously …
